1 General information

1.1 Region where the hospital/laboratory is located

1.2 Capacity of the hospital/laboratory

1.3 Time the laboratory has been carrying out mycological diagnoses

Characteristic Overall
N = 47
Time (years) the laboratory has been carrying out mycological diagnoses
    Responses 47
    Range 0, 56
    Median (IQR) 9.00 (4.50, 21.50)
    Mean (SD) 14.19 (13.83)


1.3.1 By region

Characteristic Other regions
N = 32		 Lima
N = 15		 Overall
N = 47
Time (years) the laboratory has been carrying out mycological diagnoses
    Responses 32 15 47
    Range 0, 56 4, 50 0, 56
    Median (IQR) 6.50 (3.75, 13.25) 20.00 (8.50, 22.50) 9.00 (4.50, 21.50)
    Mean (SD) 12.25 (14.38) 18.33 (11.98) 14.19 (13.83)


1.3.2 By capacity

Characteristic Low capacity
N = 16		 High capacity
N = 31		 Overall
N = 47
Time (years) the laboratory has been carrying out mycological diagnoses
    Responses 16 31 47
    Range 0, 31 1, 56 0, 56
    Median (IQR) 5.00 (3.50, 8.00) 15.00 (5.50, 25.00) 9.00 (4.50, 21.50)
    Mean (SD) 7.44 (8.25) 17.68 (14.91) 14.19 (13.83)


2 Additional information about the hospital/health facility the laboratory belongs

2.1 Total number of hospital beds

Characteristic Overall
N = 47
Total number of hospital beds
    Responses 45
    Range 0, 1,000
    Median (IQR) 100.00 (25.00, 280.00)
    Mean (SD) 173.56 (199.50)
    No response 2


2.1.1 By region

Characteristic Other regions
N = 32		 Lima
N = 15		 Overall
N = 47
Total number of hospital beds
    Responses 31 14 45
    Range 0, 565 0, 1,000 0, 1,000
    Median (IQR) 100.00 (8.50, 220.00) 173.00 (100.00, 399.50) 100.00 (25.00, 280.00)
    Mean (SD) 129.35 (142.99) 271.43 (269.37) 173.56 (199.50)
    No response 1 1 2


2.1.2 By capacity

Characteristic Low capacity
N = 16		 High capacity
N = 31		 Overall
N = 47
Total number of hospital beds
    Responses 15 30 45
    Range 0, 302 0, 1,000 0, 1,000
    Median (IQR) 40.00 (13.00, 110.00) 199.00 (26.25, 327.50) 100.00 (25.00, 280.00)
    Mean (SD) 78.93 (87.42) 220.87 (223.05) 173.56 (199.50)
    No response 1 1 2


2.2 Available services in the hospital/health facility

2.2.1 By region

2.2.2 By capacity

3 Additional information about the micology/microbiology laboratory

3.1 Approximate area of the microbiology work zone

3.1.1 By region

3.1.2 By capacity

3.2 Separated work zone for fungal diagnostic tests

3.2.1 By region

3.2.2 By capacity

3.3 Work zone area for fungal diagnostic tests

3.3.1 By region

3.3.2 By capacity

3.4 Available equipments for the diagnostic of fungi

3.4.1 By region

3.4.2 By capacity

4 Accreditation and quality assessment

4.1 Participation of the mycology laboratory in an external quality assessment scheme

4.1.1 By region

4.1.2 By capacity

4.2 Areas in which the mycology laboratory is evaluated

4.2.1 By region

4.2.2 By capacity

5 Human resources

5.1 Technical staff in the microbiology laboratory

Characteristic Overall
N = 46
Technical staff in the microbiology lab
    Responses 46
    Range 0, 20
    Median (IQR) 1.00 (1.00, 2.00)
    Mean (SD) 2.57 (3.87)


5.1.1 By region

Characteristic Other regions
N = 32		 Lima
N = 14		 Overall
N = 46
Technical staff in the microbiology lab
    Responses 32 14 46
    Range 0, 20 1, 11 0, 20
    Median (IQR) 1.00 (0.75, 2.00) 2.00 (1.00, 3.00) 1.00 (1.00, 2.00)
    Mean (SD) 2.44 (4.29) 2.86 (2.82) 2.57 (3.87)


5.1.2 By capacity

Characteristic Low capacity
N = 16		 High capacity
N = 30		 Overall
N = 46
Technical staff in the microbiology lab
    Responses 16 30 46
    Range 0, 20 0, 15 0, 20
    Median (IQR) 2.00 (1.00, 2.25) 1.00 (1.00, 2.00) 1.00 (1.00, 2.00)
    Mean (SD) 3.25 (4.95) 2.20 (3.20) 2.57 (3.87)


5.2 Professional staff in the microbiology laboratory

Characteristic Overall
N = 46
Professional staff in the microbiology lab
    Responses 46
    Range 0, 28
    Median (IQR) 3.00 (1.00, 4.00)
    Mean (SD) 4.59 (6.05)


5.2.1 By region

Characteristic Other regions
N = 32		 Lima
N = 14		 Overall
N = 46
Professional staff in the microbiology lab
    Responses 32 14 46
    Range 0, 20 1, 28 0, 28
    Median (IQR) 2.00 (1.00, 3.00) 3.00 (3.00, 5.75) 3.00 (1.00, 4.00)
    Mean (SD) 3.38 (4.01) 7.36 (8.75) 4.59 (6.05)


5.2.2 By capacity

Characteristic Low capacity
N = 16		 High capacity
N = 30		 Overall
N = 46
Professional staff in the microbiology lab
    Responses 16 30 46
    Range 0, 7 1, 28 0, 28
    Median (IQR) 3.00 (1.00, 3.00) 3.00 (1.25, 5.00) 3.00 (1.00, 4.00)
    Mean (SD) 2.62 (1.82) 5.63 (7.20) 4.59 (6.05)


5.3 Total staff in the microbiology laboratory

Characteristic Overall
N = 46
Total staff in the microbiology lab
    Responses 46
    Range 1, 35
    Median (IQR) 4.00 (2.00, 6.75)
    Mean (SD) 7.15 (8.47)


5.3.1 By region

Characteristic Other regions
N = 32		 Lima
N = 14		 Overall
N = 46
Total staff in the microbiology lab
    Responses 32 14 46
    Range 1, 35 2, 32 1, 35
    Median (IQR) 3.50 (2.00, 5.25) 5.50 (4.00, 9.00) 4.00 (2.00, 6.75)
    Mean (SD) 5.81 (7.46) 10.21 (10.06) 7.15 (8.47)


5.3.2 By capacity

Characteristic Low capacity
N = 16		 High capacity
N = 30		 Overall
N = 46
Total staff in the microbiology lab
    Responses 16 30 46
    Range 1, 27 1, 35 1, 35
    Median (IQR) 4.00 (2.75, 5.25) 4.00 (2.00, 7.00) 4.00 (2.00, 6.75)
    Mean (SD) 5.88 (6.47) 7.83 (9.40) 7.15 (8.47)


5.4 Total staff in the mycology area

Characteristic Overall
N = 40
Total staff in the mycology area
    Responses 40
    Range 0, 6
    Median (IQR) 1.00 (1.00, 3.00)
    Mean (SD) 1.73 (1.57)


5.4.1 By region

Characteristic Other regions
N = 28		 Lima
N = 12		 Overall
N = 40
Total staff in the mycology area
    Responses 28 12 40
    Range 0, 6 0, 5 0, 6
    Median (IQR) 1.00 (1.00, 3.00) 1.00 (1.00, 1.50) 1.00 (1.00, 3.00)
    Mean (SD) 1.79 (1.60) 1.58 (1.56) 1.73 (1.57)


5.4.2 By capacity

Characteristic Low capacity
N = 14		 High capacity
N = 26		 Overall
N = 40
Total staff in the mycology area
    Responses 14 26 40
    Range 0, 6 0, 5 0, 6
    Median (IQR) 1.50 (1.00, 3.00) 1.00 (1.00, 2.50) 1.00 (1.00, 3.00)
    Mean (SD) 2.21 (1.76) 1.46 (1.42) 1.73 (1.57)


5.5 Mycology training/education program for mycology laboratory staff

5.5.1 By region

5.5.2 By capacity

5.6 Times a year the mycology trainigs are held

Characteristic Overall
N = 7
Times a year the mycology trainigs are held
    Responses 7
    Range 1, 4
    Median (IQR) 2.00 (1.00, 2.00)
    Mean (SD) 1.86 (1.07)


5.6.1 By region

Characteristic Other regions
N = 4		 Lima
N = 3		 Overall
N = 7
Times a year the mycology trainigs are held
    Responses 4 3 7
    Range 1, 2 1, 4 1, 4
    Median (IQR) 1.50 (1.00, 2.00) 2.00 (1.50, 3.00) 2.00 (1.00, 2.00)
    Mean (SD) 1.50 (0.58) 2.33 (1.53) 1.86 (1.07)


5.6.2 By capacity

Characteristic Low capacity
N = 1		 High capacity
N = 6		 Overall
N = 7
Times a year the mycology trainigs are held
    Responses 1 6 7
    Range 2, 2 1, 4 1, 4
    Median (IQR) 2.00 (2.00, 2.00) 1.50 (1.00, 2.00) 2.00 (1.00, 2.00)
    Mean (SD) 2.00 (NA) 1.83 (1.17) 1.86 (1.07)


5.7 Training to other areas of the hospital/health facility

5.7.1 By region

5.7.2 By capacity

5.8 Audience of the trainings carried out by the mycology laboratory

6 Internal demand for mycological tests

6.1 Average number of samples for mycosis diagnosis before COVID-19

6.1.1 By region

6.1.2 By capacity

6.2 Average number of samples for mycosis diagnosis in the last 3 months

6.2.1 By region

6.2.2 By capacity

6.3 Departments/units that have sent samples for the diagnosis of mycoses

6.3.1 By region

6.3.2 By capacity

6.4 Most frequent sample types processed in the last 3 months

6.4.1 By region

6.4.2 By capacity

6.5 Average number of processed samples (last 3 months)

6.5.1 Skin scales, hair or nails

Characteristic Overall
N = 39
Skin scales, hair or nails
    Responses 39
    Range 1, 70
    Median (IQR) 10.00 (5.00, 20.00)
    Mean (SD) 16.44 (17.15)


6.5.1.1 By region

Characteristic Other regions
N = 25		 Lima
N = 14		 Overall
N = 39
Skin scales, hair or nails
    Responses 25 14 39
    Range 1, 30 2, 70 1, 70
    Median (IQR) 10.00 (8.00, 15.00) 20.00 (5.00, 30.00) 10.00 (5.00, 20.00)
    Mean (SD) 11.16 (7.66) 25.86 (24.54) 16.44 (17.15)


6.5.1.2 By capacity

Characteristic Low capacity
N = 14		 High capacity
N = 25		 Overall
N = 39
Skin scales, hair or nails
    Responses 14 25 39
    Range 2, 70 1, 70 1, 70
    Median (IQR) 10.00 (8.00, 15.00) 10.00 (5.00, 25.00) 10.00 (5.00, 20.00)
    Mean (SD) 16.14 (17.36) 16.60 (17.39) 16.44 (17.15)


6.5.2 Sputum, bronchoaspirate or bronchial brushing

Characteristic Overall
N = 31
Sputum, bronchoaspirate or bronchial brushing
    Responses 31
    Range 1, 500
    Median (IQR) 12.00 (10.00, 50.00)
    Mean (SD) 48.58 (95.79)


6.5.2.1 By region

Characteristic Other regions
N = 21		 Lima
N = 10		 Overall
N = 31
Sputum, bronchoaspirate or bronchial brushing
    Responses 21 10 31
    Range 1, 88 3, 500 1, 500
    Median (IQR) 10.00 (10.00, 30.00) 43.50 (12.50, 90.00) 12.00 (10.00, 50.00)
    Mean (SD) 22.67 (23.97) 103.00 (156.36) 48.58 (95.79)


6.5.2.2 By capacity

Characteristic Low capacity
N = 10		 High capacity
N = 21		 Overall
N = 31
Sputum, bronchoaspirate or bronchial brushing
    Responses 10 21 31
    Range 1, 100 1, 500 1, 500
    Median (IQR) 11.00 (7.75, 33.00) 20.00 (10.00, 50.00) 12.00 (10.00, 50.00)
    Mean (SD) 26.40 (33.45) 59.14 (113.56) 48.58 (95.79)


6.5.3 Mucosal exudates

Characteristic Overall
N = 7
Mucosal exudates
    Responses 7
    Range 5, 150
    Median (IQR) 20.00 (12.50, 52.50)
    Mean (SD) 43.57 (50.97)


6.5.3.1 By region

Characteristic Other regions
N = 4		 Lima
N = 3		 Overall
N = 7
Mucosal exudates
    Responses 4 3 7
    Range 5, 60 15, 150 5, 150
    Median (IQR) 15.00 (8.75, 30.00) 45.00 (30.00, 97.50) 20.00 (12.50, 52.50)
    Mean (SD) 23.75 (24.96) 70.00 (70.89) 43.57 (50.97)


6.5.3.2 By capacity

Characteristic Low capacity
N = 2		 High capacity
N = 5		 Overall
N = 7
Mucosal exudates
    Responses 2 5 7
    Range 15, 60 5, 150 5, 150
    Median (IQR) 37.50 (26.25, 48.75) 20.00 (10.00, 45.00) 20.00 (12.50, 52.50)
    Mean (SD) 37.50 (31.82) 46.00 (60.15) 43.57 (50.97)


6.5.4 Biopsies

Characteristic Overall
N = 5
Biopsies
    Responses 5
    Range 1, 15
    Median (IQR) 5.00 (1.00, 8.00)
    Mean (SD) 6.00 (5.83)


6.5.4.1 By region

Characteristic Other regions
N = 3		 Lima
N = 2		 Overall
N = 5
Mucosal exudates
    Responses 3 2 5
    Range 1, 8 5, 15 1, 15
    Median (IQR) 1.00 (1.00, 4.50) 10.00 (7.50, 12.50) 5.00 (1.00, 8.00)
    Mean (SD) 3.33 (4.04) 10.00 (7.07) 6.00 (5.83)


6.5.4.2 By capacity

Characteristic Low capacity
N = 2		 High capacity
N = 3		 Overall
N = 5
Mucosal exudates
    Responses 2 3 5
    Range 1, 8 1, 15 1, 15
    Median (IQR) 4.50 (2.75, 6.25) 5.00 (3.00, 10.00) 5.00 (1.00, 8.00)
    Mean (SD) 4.50 (4.95) 7.00 (7.21) 6.00 (5.83)


6.5.5 Urine

Characteristic Overall
N = 18
Urine
    Responses 18
    Range 3, 11,000
    Median (IQR) 42.50 (16.25, 287.50)
    Mean (SD) 783.67 (2,564.28)


6.5.5.1 By region

Characteristic Other regions
N = 13		 Lima
N = 5		 Overall
N = 18
Urine
    Responses 13 5 18
    Range 10, 700 3, 11,000 3, 11,000
    Median (IQR) 35.00 (15.00, 125.00) 300.00 (28.00, 1,000.00) 42.50 (16.25, 287.50)
    Mean (SD) 136.54 (205.29) 2,466.20 (4,787.49) 783.67 (2,564.28)


6.5.5.2 By capacity

Characteristic Low capacity
N = 9		 High capacity
N = 9		 Overall
N = 18
Urine
    Responses 9 9 18
    Range 3, 11,000 10, 1,000 3, 11,000
    Median (IQR) 50.00 (15.00, 400.00) 30.00 (20.00, 125.00) 42.50 (16.25, 287.50)
    Mean (SD) 1,384.78 (3,613.48) 182.56 (320.62) 783.67 (2,564.28)


6.5.6 Blood

Characteristic Overall
N = 12
Blood
    Responses 12
    Range 3, 1,000
    Median (IQR) 125.00 (24.50, 362.50)
    Mean (SD) 270.08 (364.19)


6.5.6.1 By region

Characteristic Other regions
N = 8		 Lima
N = 4		 Overall
N = 12
Blood
    Responses 8 4 12
    Range 3, 1,000 20, 1,000 3, 1,000
    Median (IQR) 80.00 (24.50, 130.50) 375.00 (267.50, 550.00) 125.00 (24.50, 362.50)
    Mean (SD) 183.88 (334.01) 442.50 (408.12) 270.08 (364.19)


6.5.6.2 By capacity

Characteristic Low capacity
N = 3		 High capacity
N = 9		 Overall
N = 12
Blood
    Responses 3 9 12
    Range 3, 130 20, 1,000 3, 1,000
    Median (IQR) 120.00 (61.50, 125.00) 132.00 (26.00, 400.00) 125.00 (24.50, 362.50)
    Mean (SD) 84.33 (70.61) 332.00 (404.81) 270.08 (364.19)


6.5.7 Intravascular catheter

Characteristic Overall
N = 7
Intravascular catheter
    Responses 7
    Range 4, 200
    Median (IQR) 10.00 (10.00, 40.00)
    Mean (SD) 44.86 (70.98)


6.5.7.1 By region

Characteristic Other regions
N = 5		 Lima
N = 2		 Overall
N = 7
Intravascular catheter
    Responses 5 2 7
    Range 4, 20 60, 200 4, 200
    Median (IQR) 10.00 (10.00, 10.00) 130.00 (95.00, 165.00) 10.00 (10.00, 40.00)
    Mean (SD) 10.80 (5.76) 130.00 (98.99) 44.86 (70.98)


6.5.7.2 By capacity

Characteristic Low capacity
N = 2		 High capacity
N = 5		 Overall
N = 7
Intravascular catheter
    Responses 2 5 7
    Range 10, 20 4, 200 4, 200
    Median (IQR) 15.00 (12.50, 17.50) 10.00 (10.00, 60.00) 10.00 (10.00, 40.00)
    Mean (SD) 15.00 (7.07) 56.80 (83.19) 44.86 (70.98)


6.5.8 Cerebrospinal fluid collection

Characteristic Overall
N = 15
Cerebrospinal fluid collection
    Responses 15
    Range 5, 120
    Median (IQR) 12.00 (8.00, 20.00)
    Mean (SD) 21.73 (29.25)


6.5.8.1 By region

Characteristic Other regions
N = 8		 Lima
N = 7		 Overall
N = 15
Cerebrospinal fluid collection
    Responses 8 7 15
    Range 5, 30 5, 120 5, 120
    Median (IQR) 11.00 (6.00, 16.25) 12.00 (10.00, 32.50) 12.00 (8.00, 20.00)
    Mean (SD) 13.00 (8.57) 31.71 (41.14) 21.73 (29.25)


6.5.8.2 By capacity

Characteristic Low capacity
N = 0		 High capacity
N = 15		 Overall
N = 15
Cerebrospinal fluid collection
    Responses 0 15 15
    Range Inf, -Inf 5, 120 5, 120
    Median (IQR) NA (NA, NA) 12.00 (8.00, 20.00) 12.00 (8.00, 20.00)
    Mean (SD) NA (NA) 21.73 (29.25) 21.73 (29.25)


6.5.9 Bone marrow

Characteristic Overall
N = 2
Bone marrow
    Responses 2
    Range 3, 3
    Median (IQR) 3.00 (3.00, 3.00)
    Mean (SD) 3.00 (0.00)


6.5.9.1 By region

Characteristic Other regions
N = 0		 Lima
N = 2		 Overall
N = 2
Bone marrow
    Responses 0 2 2
    Range Inf, -Inf 3, 3 3, 3
    Median (IQR) NA (NA, NA) 3.00 (3.00, 3.00) 3.00 (3.00, 3.00)
    Mean (SD) NA (NA) 3.00 (0.00) 3.00 (0.00)


6.5.9.2 By capacity

Characteristic Low capacity
N = 0		 High capacity
N = 2		 Overall
N = 2
Bone marrow
    Responses 0 2 2
    Range Inf, -Inf 3, 3 3, 3
    Median (IQR) NA (NA, NA) 3.00 (3.00, 3.00) 3.00 (3.00, 3.00)
    Mean (SD) NA (NA) 3.00 (0.00) 3.00 (0.00)


7 Microscopic examinations

7.1 Does the mycology laboratory perform microscopic examinations?

7.1.1 By region

7.1.2 By capacity

7.2 Available microscopic examinations

7.2.1 By region

7.2.2 By capacity

7.3 Delivery time of chinese ink stain test results

7.3.1 By region

7.3.2 By capacity

7.4 Delivery time of Giemsa ink stain test results

7.4.1 By region

7.4.2 By capacity

7.5 Results delivery method

7.5.1 By region

7.5.2 By capacity

8 Fungal identification: Yeast

8.1 Available culture medias for yeast identification

8.1.1 By region

8.1.2 By capacity

8.2 Does the laboratory has yeast identification systems?

8.2.1 By region

8.2.2 By capacity

8.3 Available yeast identification systems

8.3.1 By region

8.3.2 By capacity

8.4 Routine storage of clinical yeast isolates

8.4.1 By region

8.4.2 By capacity

9 Fungal identification: Mold (Filamentous/Dimorphic Fungi)

9.1 Available culture medias for mold identification

9.1.1 By region

9.1.2 By capacity

9.2 Does the laboratory has mold identification systems?

9.2.1 By region

9.2.2 By capacity

9.3 Does the laboratory send mold isolates to external labs for identification?

9.3.1 By region

9.3.2 By capacity

9.4 Available mold identification systems

9.4.1 By region

9.4.2 By capacity

9.5 Routine storage of clinical yeast isolates

9.5.1 By region

9.5.2 By capacity

10 Antifungal susceptibility testing

10.0.1 By region

10.0.2 By capacity

10.1 Does the laboratory perform the antifungal susceptibility tests or are they sent to an external laboratory?

10.1.1 By region

10.1.2 By capacity

10.2 What types of fungi are antifungal susceptibility tests available for?

10.2.1 By region

10.2.2 By capacity

11 Serological tests

11.1 Are antibody tests against fungi (Aspergillus sp., Histoplasma capsulatum, Paracoccidioides brasiliensis) available in your laboratory?

11.1.1 By region

11.1.2 By capacity

11.2 Are antibody tests against fungi available in another laboratory in your hospital?

11.2.1 By region

11.2.2 By capacity

11.3 Are the tests for the detection of antibodies against fungi sent to an external laboratory?

11.3.1 By region

11.3.2 By capacity

11.4 Are Cryptococcus antigen detection tests available in your laboratory?

11.4.1 By region

11.4.2 By capacity

11.5 Are Cryptococcus antigen tests available at another lab in the hospital?

11.5.1 By region

11.5.2 By capacity

11.6 Are Cryptococcus antigen tests sent to an external laboratory?

11.6.1 By region

11.6.2 By capacity

11.7 Which antigen detection tests for Cryptococcus are available in your laboratory or hospital?

11.8 Are Histoplasma capsulatum antigen detection tests available in your laboratory?

11.8.1 By region

11.8.2 By capacity

11.9 Are Histoplasma capsulatum antigen tests available at another lab in the hospital?

11.9.1 By region

11.9.2 By capacity

11.10 Are Histoplasma capsulatum antigen tests sent to an external laboratory?

11.10.1 By region

11.10.2 By capacity

11.11 Are Aspergillus sp. antigen detection tests available in your laboratory?

11.11.1 By region

11.11.2 By capacity

11.12 Are Aspergillus sp. antigen tests available at another lab in the hospital?

11.12.1 By region

11.12.2 By capacity

11.13 Are Aspergillus sp. antigen tests sent to an external laboratory?

11.13.1 By region

11.13.2 By capacity

12 Molecular diagnosis

12.1 Are PCR tests for the diagnosis of fungi available in your laboratory/hospital?

12.1.1 By region

12.1.2 By capacity

12.2 Available PCR tests for the diagnosis of fungi

13 Other capacities

13.1 Available antifungals for the treatment of patients

13.1.1 By region

13.1.2 By capacity